Individual
SHAVONNE BRIDGETTE DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2908 S LAMAR BLVD STE 100, OXFORD, MS 38655-5375
(662) 281-0112
Mailing address
2908 S LAMAR BLVD STE 100, OXFORD, MS 38655-5375
(662) 281-0112
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R904555
MS
363LG0600X
Gerontology Nurse Practitioner
Primary
R904555
MS
Other
Enumeration date
04/06/2021
Last updated
10/22/2024
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